Consulting Experience

My consulting experience includes projects for Revenue Cycle Management. The usual scope of a project consists of a review of outstanding insurance balances sorted by date of service and rendering provider of service. The next step would be to review the outstanding CPT / ICD-I O codes as it relates to the insurance company's local coverage determinations. Clearinghouse review for submitted claims/ rejected claims. Provider fee schedule review based upon locality and zip code. Patient insurance eligibility status and Prior authorization status. All these processes are reviewed to report back to the physician the status of the revenue cycle.

Professional Experiences

My professional experience includes over two decades years in the healthcare field. My career began as a duly licensed insurance/securities agent in the individual and small business Texas marketplace. I am a subject matter expert on Revenue Cycle Management and have served as CEO of a company that offers Full Revenue Cycle Management, CPT/ICD-10 Coding, Practice Management Consulting, compliance and Education. I also have extensive experience in Anesthesia and Pain Management across all areas of expertise. I have presented topics on RCM, Practice Management, Anesthesia Coding and Risk Adjustment.

Licenses Certifications

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